JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chromebook Ticket System
Please use this form for all hardware/software issues with Chromebooks
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Site
*
Please select your site:
HHS
HJH
FMC
HES
Grade
12th
11th
10th
9th
8th
7th
6th
Other:
Clear selection
Device Serial #:
*
Please type in the serial number of your device (same as barcode #)
Your answer
Issue With:
*
Please select the item you are having trouble with
Chromebook
iPad
Charger
Problem Type:
*
Please select the type of problem you are having:
Hardware (Keyboard, Trackpad, Screen, Case, or Charger not functioning properly)
Software (Unable to log in, system reboots, unable to start applications)
LOST/STOLEN
Chromebook Locked/Disabled
Problem resolved
Problem Details:
*
Please select one or more from below:
Chromebook Locked/Disabled
Screen: Broken/Damaged
Screen: Dim or black
Keyboard: Keys not working
Keyboard: Missing keys
Charger: Broken
Charger: Lost/Stolen
Device: Unable to boot or log in
Device: Not Charging
Device: Lost/Stolen
Keyboard: Trackpad not working
Problem resolved
Description
*
Please describe the issue as best as you can.
Your answer
Where is item?
*
Left with library staff, secretary
Still with me
Lost/Stolen
Turned into Tech
Room # (Elementary Only)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Healdsburg Unified School District.
Report Abuse
Forms
